ABSTRACT
Objective:To investigate the effects of different frequency sling exercise therapy (SET) on the balance of trunk control and walking ability in stroke patients.Methods:A total of 90 patients with stroke who were admitted to the Department of Rehabilitation Medicine, Union Hospital of Tongji Medical College, Huazhong University of Science and Technology, from January 2018 to December 2018, received sling exercise therapy on a routine basis and were divided into 1 time/Day low frequency group, 2 time/Day medium frequency group, 3 time/Day high frequency group, 20 min/time, for a total of 3 months.After 1, 2 and 3 months, trunk control test (TCT), Berg balance scale(BBS), functional ambulation classification (FAC) and modified Barthel Index (MBI) were used to evaluate the three groups of patients.Results:There were significant differences in TCT, BBS, FAC and MBI between the low, middle and high frequency groups (all P < 0.05). The scores of TCT in the low, middle and high frequency groups were (36.21±6.31), (42.51±4.33), (49.52±4.90) and (41.23±6.31), (50.32±8.32), (58.12±7.23) respectively, and the scores of BBS were (15.11±4.31), (19.69±5.86), (24.56±8.74) and (21.43±5.37), (27.61 ± 7.50), (33.81±6.99) respectively, compared with those before treatment )The scores of (24.69±9.33), (22.84 ± 10.11) and (9.32 ± 3.11), (9.504.10), (9.47 ± 3.73) were significantly improved, and the differences between the high frequency group and the low frequency group and the medium frequency group were statistically significant (all P< 0.05), but there was no statistically significant difference between the three groups after three months of training ( P> 0.05). There was no significant difference between fAC and MBI in the low, medium and high frequency group, but there was no significant difference between the two groups after training for 2 and 3 months There were significant differences between fAC ((1.84±0.41), (2.39±0.44), (3.29 ± 0.33) and MBI ((27.32 ± 9.33), (34.45 ± 9.21), (44.77 ± 10.27) and (41.33±11.21), (52.73±12.31), (75.94±13.22)). There was significant difference between the high frequency group and the low frequency group ( P< 0.05). Conclusion:Multiple sling exercise therapy in one day can further improve the balance of trunk control and walking ability of stroke patients, and shorten the course of disease.
ABSTRACT
Objective To observe the effect of sensory stimulation on swallowing functional recovery in patients with cerebrovascular disease .Methods 60 cerebrovascular accident patients with swallowing dysfunction were randomly divided into research group ( 30 cases ) and control group ( 30 cases ) .The control group was given conventional swallowing function training ,the research group was given sensory stimulation training on this basis of the control group .Before treatment and 1 month after treatment , kubota drinking water test and feeding -swallowing function rating were used to evaluate the swallowing ability of the two groups .Results There were no statistically significant differences between the two groups in terms of sex ,age and course of disease (all P >0.05).Before treatment,the ability of swallowing between the two groups had no statistically significant difference [( 3.27 ± 1.14)points vs.(2.97 ±1.43)points,t=0.646,P>0.05].After 1 month of treatment,the swallowing ability score of the two groups[(7.10 ±1.16)points vs.(5.07 ±1.55)points;t=8.046,P<0.01]and swallowing function grade (90.0％vs.63.3％,χ2 =7.638,P<0.05) were significantly higher than those before treatment .which of the study group were more significant , and the differences between the two groups were statistically significant .Conclusion Various sensory stimulation for patients with dyspraxia after cerebrovascular accident is obviously better than monotherapy ,which can effectively improve the swallowing function of patients with cerebrovascular disease .
ABSTRACT
Objective To explore the correlation between family function and clinical symptom in depression and its effect on suicidal ideation.Methods Forms of General information,Hamilton Depression Scales (HAMD),Self-rating Idea of Suicide Scale (S1OSS),Symptom Checklist (SCL-90) and Family Adaptability and Cohesion Scale,Second Edition (FACESII-CV) were used to the survey in which 125 voluntary subjects were involved who were then under the treatment in the hospital.All the subjects were divided into two groups by SIOSS standard for evaluation,including the suicidal ideation group (SIOSS ≥ 12 points;81 cases),and the non-suicidal ideation group (SIOSS ＜ 12 points;44 cases).Results (1) The scores showing FACESII-CV of suicidal ideation patients were evidently lower than those the non-suicidal ideation patients (P ＜ 0.05).The highest proportion of the family type was intermediate type in non-suicidal ideation patients and extreme type in the suicidal ideation patients.(2) The scores showing SCL-90 of suicidal ideation patients were evidently higher than those the non-suicidal ideation patients (P ＜0.05).(3) The scores of family cohesion had negatively correlated with interpersonal sensitivity,hostility,paranoid ideation of SCL-90.The scores of family adaptability had negatively correlated with total scores,total average,positive symptom distresslevel,somatization,obsessive-compulsive,interpersonal sensitivity,depression,anxiety,hostility,paranoid ideation,and psychoticism of SCL-90.The multiple linear regression was Y =2.523X1 (depression)-0.144X2 (family adaptability) + 13.659.Conclusions It is revealed that the suicidal ideation depression patients suffer less sufficient family cohesion and adaptability than non-suicidal ideation.Its clinical symptoms are more complex,diverse,and severe.Most of them have an intermediate type family in non-suicidal ideation depressions,and the most common family type in the suicidal ideation depressions is extreme type family.For the suicidal ideation depression patients,the worse the family function,the more severe the clinical symptoms.Degree of depression and family adaptability has speculated significance to suicidal ideation.